When Doctors Have Time to Care — Doctors Coaching Doctors – Helane Fronek, MD Coaching and Consulting

If you’ve visited a doctor recently, it’s likely that you’ve felt unseen and unheard. Sadly, “healthcare” is often dictated more by corporate requirements and a focus on the bottom line than by creating a healing interaction between doctors and patients. Doctors are asked to see patients in such short visits that true connection and relationship […]

via When Doctors Have Time to Care — Doctors Coaching Doctors – Helane Fronek, MD Coaching and Consulting

Genetics Plays a Role in Varicose Veins

In the last 20 years, various scientific Phlebology and Surgical publications have scientifically proven that genetics plays a part in chronic venous disease, varicose veins, spider vein formation over time as men and women age. In the following abstract, we can look forward to full genome studies to predict more accurately who will get vein disease based on genetics and therefore learn how to slow down the process with lifestyle, proper diagnosis, treatment modalities, and healthy vein practices including compression stockings, exercise, leg elevation and calf muscle pump activation, and FDA approved medicines. Annual maintenance has helped our existing patients for 20 years.

Semin Vasc Surg. 2013 Mar;26(1):2-13. doi:10.1053/j.semvascsurg.2013.04.003.Genomics of varicose veins and chronic venous insufficiency. Markovic JN1, Shortell CK. Abstract

Recent sequencing of the human genome has opened up new areas of investigation for genetic aberrations responsible for the pathogenesis of many human diseases. To date, there have been no studies that have investigated the entire human genome for the genetic underpinnings of chronic venous insufficiency (CVI). Utilizing Gene Chip Arrays we analyzed the relative expression levels of more than 47,000 transcripts and variants and approximately 38,500 well-characterized genes from each of 20 patients (N (CVI)=10; N (Control Group)=10). Relative gene expression profiles significantly differed between patients with CVI and patients unaffected by CVI. Regulatory genes of mediators of the inflammatory reaction and collagen production were up-regulated and down-regulated, respectively in CVI patients. DNA microarray analysis also showed that relative gene expression of multiple genes which function remains to be elucidated was significantly different in CVI patients. Fundamental advancements in our knowledge of the human genome and understanding of the genetic basis of CVI represents an opportunity to develop new diagnostic, prognostic, preventive and therapeutic modalities in the management of CVI.

Come in for a free consult to see a video and learn about diagnosis with specific venous ultrasound techniques, healthy vein practices while you wait for treatments, compression stockings, and new FDA vein treatments: 480775-8460 @morrisonvein.com

 

 

More than leg veins can be trouble

 

Klippel-Trenaunay A rare and genetic syndrome that is often the most severe
 manifestations of varicose vein disease. The syndrome is a vascular disorder
 that consists of abnormalities in the venous system, lymphatic system, and
 arterial systems. This disorder often manifests itself in the form of 
 varicose veins, arterio-venous malformations (AVMs), lymphedema, port-wine stains
 and eventually limb hypertrophy (enlargement of the involved extremity). 
 Treatments may be an option for patients after a specific workup.
Face veins and hand veins can be more than cosmetic; you want a vein care 
specialist called a phlebologist with lots of experience to care for you.
Call us for a vein screening and then a workup for a specially 
designed treatment plan. 480-775-8460. #Morrisonvein www.morrisonvein.com


 

Why do you want an “out of network” Doctor or private pay Doctor as a choice in healthcare?

Maybe a second opinion is the answer?

Patients treatment outcomes, successful vein treatments, depend on an accurate diagnosis, identification of potential treatment options, shared decision making with the patient in choosing the most appropriate option when choices are available, understanding of, and compliance with, treatment by the patient, and follow-up and maintenance post treatment.      Outcomes depend on understanding of the condition and treatment options by the patient as well as by having the physician understand the values and preferences of the patient.

This leads to the “right” treatments and expectations for both the patient and the physician. These all require a physician / patient relationship of trust.

In today’s healthcare environment both patients and doctors can be disempowered by the industrialization of medicine with administrators and insurance companies dictating the terms of treatment and employment. 

Teaming together with our patients to find alternatives, we have a chance to influence the evolution of our healthcare.
Come talk to us at Morrison Vein Institute.

20 years dedicated to vein treatments!

Chronic Venous Insufficiency equals Vein disease

“CHRONIC VENOUS INSUFFICIENCY  (CVI) is one of the most common vascular diseases in the developed world and is a major contributor to psychosocial morbidity.” And one of the worst outcomes of venous disease is leg ulcers, esp for patients over 65- up to 4% of the population! Compression bandaging is the most recognized therapy but due to lack of education of the healthcare professionals regarding application and other treatment modalities, lack of patient funds, poor insurance reimbursement for stockings and bandaging- patients suffer for at least a year or up to 10 years needlessly.

Ross K Smith and Jonathan Golledge wrote a paper ( Phlebology 2014 Vol 29 (9) 570-579)  on a review of circulatory markers in CVI and their abstract and paper to follow shows providers could evaluate patients levels of estradiol, homocysteine and vascular growth factors that were most consistently associated with primary chronic venous insufficiency.

Circulatory markers studies can improve pathogenic understanding, increase prognostic understanding and enhance diagnostic and treatment modalities.

Early recognition of vein disease with comprehensive diagnostic evaluation and in-office minimally invasive vein treatments: revolutionary glue ablations, radiofrequency or laser ablations and ultrasound guided chemical ablations of ” faulty valve- diseased” saphenous veins, accessory veins, pudendal veins, and even pelvic vein disorders can prevent the road to leg ulcers, DVTs, and varicose vein disease disorders.

Schedule a vein screening and learn about vein disease from Morrison Vein Institute.

We have been dedicated to vein disease for 20 years.

Vein Disease equals varicose and spider veins

Hereditary risk factors for vein disease such as family history of veins combined with age, sedentary lifestyle, prolonged sitting or standing, and increased BMI, cigarette smoking, and pregnancies, all add to our chances of varicose and spider veins. The venous circulation is supposed to go up the legs back to the heart as the diagram above depicts. But with reflux, venous disease called venous insufficiency, the blood goes down the wrong way causing blood pooling and a cascade of events over time.

50% of women by the time they are 50 years old can have vein disease and 25% of men and this goes up 10% a decade. So with early intervention of easy in office vein venous ultrasound scan for a diagnosis and vein map, vein treatments there is a way ti minimize our disease process. Combine this with exercise, leg elevation, calf muscle pump exercises and good medical compression socks or stockings, we can minimize detrimental effects of varicose veins and their symptoms and complications: skin changes, restless legs, leg swelling, cramping, heaviness, feet ” burning” sensation, vulvar varicosities, deep vein thrombosis, thrombophlebitis, itching, and of course surface veins.

Come talk to us, see an informational video, get measured for compression socks and plan for  healthier legs. 480-775-8460  Tempe, Scottsdale  info@morrisonvein.com for questions. We look forward to seeing you.

 

Work Life Balance – Does it Exist?

Source: Work Life Balance – Does it Exist?

Unsightly Hand Veins?

One of our Morrison Vein Institute patients said I should put an ad that says: ” Do you have time on your hands?”  As we age, our skin gets thinner with loss of collagen and elastin, so we notice our hand veins more. Also when our body fat content is low, there is no padding to hide our veins. Then some women get age spots as well and want to just cover up the whole thing?!?  We can take on thing at a time. Treat the veins with sclerotherapy 2-3 sessions, then have a plastic surgeon or dermatologist help correct the age spots and use fillers or fat transplants to make the hands look more youthful. Lets plan it out.  Call Morrison Vein: 480-775-8460

Choose your doctor wisely-Patients Beware

When looking for a specialist to care for your leg vein health, get several opinions & do your research about the doctors.

When a doctor’s office says they “take your insurance”…. This  may just mean no pre-authorization needed…. It  doesn’t mean “insurance companies guarantee payment.”

Varicose vein question from Vein Directory online, from a post surgery patient:

I had vein ablation and have a full knee replacement. Are dilated left adnexal tortuous varicose veins consistent with pelvic vein?

I assume the “dilated left adnexal tortuous varicose veins” were seen on a diagnostic study of some sort – CT, MRI, or venography. Approximately 30% of women with left leg varicose veins have incompetence or partial obstruction in the veins in the pelvis, specifically the ovarian veins or other veins in the abdomen, pelvis and/or perineum.

This can cause pelvic pain around the menstrual periods, during pregnancy, or following sexual activity. This can also cause early recurrence of leg veins following leg vein ablation.

If DVT has been ruled out, treatment of the incompetent or obstructed abdominal or pelvic veins is typically accomplished with ultrasound guided injections, embolization (inserting or injecting material into the problem veins to close them) through catheters inserted through neck or groin, or dilation and stent placement for partial obstruction. This treatment is highly specialized and should only be done by someone with the skill, training, and experience to perform the procedures safely.

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